License holder summary

Kevin C Smith is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Kevin C Smith is 3699 South Nancy Lane, La Porte IN 46350. This licensed professional license is current. The license was granted 02/27/2009 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Kevin C Smith
Controlled Substance Registration-Physician Assistant
License number
10000208B
Date granted
02/27/2009
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
3699 South Nancy Lane, La Porte IN 46350
indianalicensing.org
ID 8387653
LAST UPDATED 2024-03-09 05:31:32 UTC

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